Change Behavioral Health, INC
Community/Behavioral Health in Waterloo, IA. Organization (NPI-2).
NPI number1093006017
StatusActive
Last updated in NPPESAug 16, 2011
Details
- NPI
- 1093006017
- Entity type
- Organization (NPI-2)
- Legal business name
- Change Behavioral Health, INC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2011
- Last updated
- Aug 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Change Behavioral Health, INC. (Doing Business As)
Practice location
501 Sycamore St Ste 623Waterloo, IA 50703-4651
Phone 319-233-0323 · Fax 319-233-5923
Mailing address
2307 Falls Avenue Suite 4Waterloo, IA 50701-5700
Phone 319-233-0323 · Fax 319-233-5923
Authorized official
Shannon Lee Harrington
Chief Executove Officer
3192330323
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All 34 Community/Behavioral Health Agency providers in Waterloo · All 1,968 providers in Waterloo
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